Melissa Anne Schuurman, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704313022 Issued in MI

Practice address

4060 Rochester Rd
Troy, MI 48085-4923

Phone

(248) 250-6420

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MVP Diagnostic Laboratory LLC

  • Clinical Medical Laboratory
  • Southfield, MI
  • NPI 1912513185
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1538718846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854923",
            "telephone_number": "248-250-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854923",
            "telephone_number": "248-250-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUURMAN",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704313022",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704313022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Schultz Eye Care PLLC
• Brianne Elizebeth Schultz, TLLP
• Melissa Kellogg Schultz, O.D.
• Steven Schultz, MD
• Elizabeth Theresa Schupra, OTRL
• Evan Schwartz
• Scott Schwartz, M.D.
• Tammy Scott-Barney, NP
• Alexander Scott
• Bonnie L Scott, AUD

• Primary Care Nurse Practitioner in Troy, MI
• Providers in Troy, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.